Depression in Alzheimer's disease can be different too

People with Alzheimer's may experience depression differently from that of people without Alzheimer's. For example, individuals diagnosed with Alzheimer's disease:

May have symptoms of depression that are less severe

May experience episodes of depression that don't last as long or come back as frequently

Seem less likely to talk of suicide and attempt suicide less often

Scientists aren't sure of the exact relationship between Alzheimer's disease and depression. The biological changes caused by Alzheimer's may intensify a predisposition to depression.

On the other hand, depression may increase the chances of developing Alzheimer's disease.

It's clear that depression has a strong effect on quality of life for people with Alzheimer's disease. Depression can lead to:

Worsening cognitive decline

Greater disability involving daily living skills

Increased dependence on caregivers

Treatment options

Several options are available to treat people diagnosed with Alzheimer's disease and depression:

Antidepressants. Selective serotonin reuptake inhibitors (SSRIs) — for example, citalopram (Celexa) and sertraline (Zoloft) — are usually the first antidepressants chosen for people who have depression and Alzheimer's. These medications have a low risk of side effects and drug interactions.

However, these medications may not be as effective at treating depression with Alzheimer's as they are at treating depression alone. Other antidepressants, such as venlafaxine (Effexor XR) or bupropion (Aplenzin, Wellbutrin, others), also may be used.

Physical exercise. Regular physical exercise may help ease the symptoms of depression.

Support groups and counseling. Support groups and professional counseling may help people with depression in the early stages of Alzheimer's disease, before their communication skills deteriorate.

Decreasing social isolation. Continuing to participate in activities with other people may decrease depressive symptoms. It may also be helpful to find ways for your loved one with Alzheimer's disease to contribute to family activities, and let them know you appreciate their contribution.

Making the diagnosis of depression in people with Alzheimer's disease and getting appropriate treatment can help make life easier and more enjoyable for both the person with Alzheimer's and his or her caregivers.

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